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Individual

JORDAN NICHOLE LEIFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 237-4700
Mailing address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021022698
MO

Other

Enumeration date
06/24/2021
Last updated
06/24/2021
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